@layout("/common/_form.html",{js:["/assets/modular/system/btyWx/add.js"]}){

<form class="layui-form" id="noticeForm" lay-filter="noticeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header"></div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="roleId" type="hidden"/>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">店铺名<span style="color: red;">*</span></label>
                        <!--                        <div class="layui-input-block">-->
                        <!--                            <input name="shopName" placeholder="请输入店铺名" class="layui-input"-->
                        <!--                                   lay-verify="required" required type="text"/>-->
                        <!--                        </div>-->

                        <div class="layui-input-block">
                            <select name="shopName" id="shopName" lay-verify="required" required>
                                <option value="">全部</option>
                            </select>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="name" placeholder="请输入姓名"
                                   lay-verify="required" required class="layui-input">
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">职务<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="post" id="post" lay-verify="required">
                                <option value="">全部</option>
                            </select>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">手机号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="phone" placeholder="请输入手机号" class="layui-input"
                                   lay-verify="required" required class="layui-input">
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label layui-inline shop-name">一级区域</label>
                        <div class="layui-input-block">
                            <select name="regionOne" lay-filter="regionOne" id="regionOne" lay-search="">
                                <option value=''>全部</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label layui-inline shop-name">二级区域</label>
                        <div class="layui-input-block">
                            <select name="regionTwo" lay-filter="language" id="regionTwo" lay-search="">
                                <option value=''>全部</option>
                            </select>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6" style="height: 30px">
                        <label class="layui-form-label">微信openID<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="openid" placeholder="请输入微信openID" class="layui-input"
                                   lay-verify="required" required class="layui-input">
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6" >
                        <label class="layui-form-label label-title">微信昵称<span style="color: red;">*</span></label>
                        <div class="layui-input-block label-block">
                            <input name="nickname" class="layui-input" type="text" lay-verify="required" required
                                   placeholder="请输入微信昵称"/>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">钉钉ID<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="dingId" placeholder="请输入钉钉ID" lay-verify="required" required
                                   class="layui-input">
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">部门<span style="color: red;">*</span></label>
                        <!--                        <div class="layui-input-block">-->
                        <!--                            <input name="deptId" placeholder="请输入部门" lay-verify="required" required-->
                        <!--                                   class="layui-input">-->
                        <!--                        </div>-->

                        <div class="layui-input-block">
                            <input id="deptId" name="deptId" type="hidden">
                            <input id="deptName" name="deptName" placeholder="请输入部门" type="text"
                                   class="layui-input" lay-verify="required" required autocomplete="off"/>
                        </div>

                    </div>

                </div>
            </div>
        </div>
        <div class="form-group-bottom text-center">
            <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
            <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
        </div>
    </div>
</form>

@}
